Rex Alan Wieland
Controlled Substance Registration - Physician
Indiana 01026403D Expired
This Indiana license was held by Rex Alan Wieland. The license is no longer active. It was granted on 03/03/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01026403D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/03/2004 (over 22 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
MedStat, 1540 Provident Dr., Warsaw IN 46580